MARJORIE K STOCK
Physician/surgeon


Address: P.o. Box 1104, Dover, NH 03820

MARJORIE K STOCK (Credential# 551729) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 13, 1995. The license expiration date date is December 31, 1996. The license status is INACTIVE.

Business Overview

MARJORIE K STOCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034130. The credential type is physician/surgeon. The effective date is November 13, 1995. The expiration date is December 31, 1996. The business address is P.o. Box 1104, Dover, NH 03820. The current status is inactive.

Basic Information

Licensee Name MARJORIE K STOCK
Credential ID 551729
Credential Number 1.034130
Credential Type Physician/Surgeon
Business Address P.o. Box 1104
Dover
NH 03820
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1994-10-28
Effective Date 1995-11-13
Expiration Date 1996-12-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
162968 CSP.0022862 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1995-02-02 - 1996-02-28 INACTIVE

Office Location

Street Address P.O. BOX 1104
City DOVER
State NH
Zip Code 03820

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Competitor

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City DOVER
Zip Code 03820
License Type Physician/Surgeon
License Type + County Physician/Surgeon + DOVER

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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